Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study

Shannon Findlay; Morgan Swanson; Christian Junker; Mitchell Kinkor; Karisa K Harland; Christopher Buresh

doi:10.1186/s12887-021-02987-4

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Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study

Journal article

Open access

Peer reviewed

Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study

Shannon Findlay, Morgan Swanson, Christian Junker, Mitchell Kinkor, Karisa K Harland and Christopher Buresh

BMC pediatrics, Vol.22(1), pp.7-7

01/03/2022

DOI: 10.1186/s12887-021-02987-4

PMCID: PMC8722303

PMID: 34980010

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https://doi.org/10.1186/s12887-021-02987-4View

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Abstract

Helping Babies Breathe (HBB) is an American Academy of Pediatrics neonatal resuscitation program designed to reduce neonatal mortality in low resource settings. The 2017 neonatal mortality rate in Haiti was 28 per 1000 live births and an estimated 85 % of Haitian women deliver at home. Given this, the Community Health Initiative implemented an adapted HBB (aHBB) in Haiti to evaluate neonatal mortality. Community Health Workers taught an aHBB program to laypeople, which didn't include bag-valve-mask ventilation. Follow-up after delivery assessed for maternal and neonatal mortality and health. Analysis included 536 births of which 84.3 % (n=452) were attended by someone trained in aHBB. The odds of neonatal mortality was not significantly different among the two groups (aOR=0.48 [0.16-1.44]). Composite outcome of neonatal health as reported by the mother (subjective morbidity and mortality) was significantly lower in aHBB attended births (aOR=0.31 [0.14-0.70]). This analysis of the aHBB program indicates that community training to laypersons in low resource settings may reduce neonatal ill-health but not neonatal mortality. This study is likely underpowered to find a difference in neonatal mortality. Further work is needed to evaluate which components of the aHBB program are instrumental in improving neonatal health.

Asphyxia Neonatorum

Child

Female

Haiti

Humans

Infant

Infant Mortality

Infant, Newborn

Resuscitation - education

Retrospective Studies

Details

Title: Subtitle: Adapted Helping Babies Breathe approach to neonatal resuscitation in Haiti: a retrospective cohort study
Creators: Shannon Findlay - University of Iowa
Morgan Swanson - University of Iowa
Christian Junker - University of Iowa
Mitchell Kinkor - University of Iowa
Karisa K Harland - University of Iowa
Christopher Buresh - Harborview Medical Center
Resource Type: Journal article
Publication Details: BMC pediatrics, Vol.22(1), pp.7-7
DOI: 10.1186/s12887-021-02987-4
PMID: 34980010
PMCID: PMC8722303
NLM abbreviation: BMC Pediatr
ISSN: 1471-2431
eISSN: 1471-2431
Language: English
Date published: 01/03/2022
Academic Unit: Epidemiology; Emergency Medicine; Injury Prevention Research Center; Law Faculty
Record Identifier: 9984297147802771

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